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1588465934 NPI number — ERIN BETH O'CONNOR

NPI Number: 1588465934
Health Care Provider/Practitioner: ERIN BETH O'CONNOR

Information about “1588465934” NPI (ERIN BETH O'CONNOR) exists in 1588465934 in HTML format HTML  |  1588465934 in plain Text format TXT  |  1588465934 in PDF (Portable Document Format) PDF  |  1588465934 in an XML format XML  formats.

NPI Number : 1588465934 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588465934",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "O'CONNOR",
    "FirstName": "ERIN",
    "MiddleName": "BETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LERCH",
    "OtherFirstName": "ERIN",
    "OtherMiddleName": "BETH",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3 NEENAH CTR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "NEENAH",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54956-3070",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "920-727-9982",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "640 DEERWOOD AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "NEENAH",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54956-7110",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "920-727-9982",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/21/2025",
    "LastUpdateDate": "09/03/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163WC0200X",
          "TaxonomyName": "Critical Care Medicine Registered Nurse",
          "LicenseNumber": "240575-30",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363L00000X",
          "TaxonomyName": "Nurse Practitioner",
          "LicenseNumber": "17261",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0200X",
          "TaxonomyName": "Pediatric Nurse Practitioner",
          "LicenseNumber": "17261",
          "LicenseNumberStateCode": "WI",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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